Katherine Gray, MD | |
120 Desert Sage Way, Mountain Home, ID 83647-1038 | |
(208) 875-3988 | |
(208) 587-3324 |
Full Name | Katherine Gray |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 120 Desert Sage Way, Mountain Home, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427407824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-14835 (Idaho) | Primary |
207Q00000X | Family Medicine | TL0006271 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glenns Ferry Health Center Inc | 5496656894 | 13 |
Entity Name | Glenns Ferry Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
Mailing Address | Practice Location Address |
---|---|
Katherine Gray, MD 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3988 | Katherine Gray, MD 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 875-3988 |
Scott Alan Baldridge, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 365 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Stephen C Johnson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 702-453-3799 Fax: 702-453-5741 | |
Dr. Karl H. Olson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 | |
Dr. Dennis Dan Crossley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 | |
Timothy James Muhonen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Dr. Richard Frederick Starkey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-9736 Fax: 208-587-7905 |